Pregnancy Induced Hypertension

Pregnancy Induced Hypertension

Pregnancy Induced Hypertension It is a condition seen in pregnancy, usually in the late second or early third trimester, wherein there is a rise in the blood pressure of the patient. It is a serious disorder in pregnancy and can cause maternal and/or fetal death in 2-4% cases. It can also occur in women who had high BP prior to pregnancy. The symptoms may not occur till late in the disease, therefore it is advised to undergo proper ante natal visits to the obstetrician with a regular check of the blood pressure. The symptoms that could occur are excessive weight gain and swelling of hands and feet, later as the disease advances there could be headache, blurring of vision, abdominal pain or dizziness. These symptoms should not be neglected, but appropriate medical help should be sort for.

Mother Complications

  • Kidney damage, loss of vision
  • Convulsion or fit
  • Severe breathing difficulty
  • Uncontrolled bleeding from any site
  • Need of blood or blood products
  • ICU admission and ventilatory support
  • Maternal death

Fetal

  • Low birth weight, premature delivery
  • Birth asphyxia
  • Fetal death due to premature placental separation

Management

There is no treatment of this condition, except immediate delivery. The blood pressure can be controlled and pregnancy can be prolonged till the time baby becomes mature enough to deliver by certain medications. Early signs of the worsening of the disease should be picked up correctly and be acted upon. Treatment and control of complications is essential.